Ua kuhikuhi ʻia anei ʻoe a i ʻole kekahi o kou ʻohana i kahi lāʻau i kapa ʻia ʻo Quetiapine e ke kauka? Ke hana ʻia kēlā, he mea maʻamau ka hiki ʻana mai o nā nīnau e pili ana i kēia lāʻau. "He aha ka mea e hana ʻia me kēia?", "Palekana anei kēia?", "Aia kekahi mau hopena ʻaoʻao?" Ke noʻonoʻo nei paha ʻoe i ka mea like. Mai hopohopo. Ma kēia ʻatikala, e kamaʻilio maʻalahi mākou e pili ana i kēia lāʻau i kapa ʻia ʻo Quetiapine, e like me kāu e haʻi aku ai i kahi hoaaloha.
He aha maoli ka Quetiapine?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ka quetiapine i hoʻohana ʻia e mālama i kekahi mau maʻi olakino noʻonoʻo. Ua ʻike pinepine ʻia ma ko mākou ʻāina ma ka inoa inoa ʻo Seroquel. Hoʻohana nui ʻia ia e mālama i nā maʻi e like me ka schizophrenia a me ka maʻi bipolar.
E noʻonoʻo e pili ana i ia mea, aia i loko o ko kākou lolo nā ʻelele kemika (neurotransmitters) e kāohi ana i ko kākou mau manaʻo, nā manaʻo, a me nā ʻano. ʻO Dopamine a me serotonin ʻelua o nā ʻelele kemika nui. I kekahi mau maʻi noʻonoʻo, hiki i kēia mau kemika ke lilo i mea kaulike ʻole. I kēlā mau hihia, hana ka lāʻau quetiapine ma ka hoʻihoʻi ʻana i kēlā mau pae dopamine a me serotonin , e kōkua ana i ka hoʻopaʻa ʻana i kou ʻano, nā manaʻo, a me nā ʻano. Ua kapa ʻia kēia papa o nā lāʻau lapaʻau he antipsychotics. Akā, mai makaʻu i ka inoa, no ka mea, hoʻohana ʻia kēia papa o nā lāʻau lapaʻau e mālama i nā ʻano maʻi noʻonoʻo like ʻole.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
He mea nui loa ia e haʻi i kāu kauka e pili ana i kou mōʻaukala olakino ma mua o ka hoʻomaka ʻana i ka quetiapine. ʻO kēia no ka mea pono kekahi mau kūlana i ka mālama kūikawā i ka wā e hoʻohana ai i kēia lāʻau. Inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma lalo nei, e hōʻoia e haʻi i kāu kauka.
| Maʻi a i ʻole ke kūlana | Wehewehena |
|---|---|
| Maʻi puʻuwai a me ke koko | Maʻi puʻuwai, nā maʻi o ka puʻuwai, ke koko haʻahaʻa. |
| Maʻi diabetes | Loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana ka maʻi diabetes. |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Paʻa ka ʻōpū, paʻa ka paʻa, paʻakikī ke ale. |
| Maʻi akepaʻa | ʻO nā pilikia e pili ana i ka hana o ke akepaʻa. |
| Nā pilikia maka | ʻO nā katarata, glaucoma. |
| Nā pilikia o ke koko | Ua emi nā keʻokeʻo koko, nā keʻokeʻo koko ʻulaʻula, a i ʻole nā platelets. |
| Nā kūlana olakino ʻē aʻe | Dementia, maʻi Parkinson, maʻi epilepsy/ seizures , maʻi thyroid, maʻi prostate, hoʻōki i ka mimi. |
| Ola kino noʻonoʻo | He mau manaʻo, hoʻolālā, a hoʻāʻo paha e hōʻeha iā ʻoe iho (ʻo ʻoe iho a i ʻole kekahi lālā o ka ʻohana). |
| Ka hāpai ʻana a me ka hānai ʻana i ka waiū | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. |
| Nā maʻi ʻaleka | Inā he maʻi ʻoe i ka quetiapine a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha. |
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
He maʻalahi loa ke ʻano e hoʻohana ai i kēia.
- E ale i ka pila me ke aniani wai.
- E lawe i ka lāʻau i kuhikuhi ʻia e kāu kauka i ka manawa kūpono. Mai hōʻalo i nā lāʻau.
- Inā huhū ʻoe ma hope o ka lawe ʻana i ka lāʻau lapaʻau, hiki iā ʻoe ke lawe pū me ka ʻai.
- Mai ho'ōki koke i ka lawe ʻana i ka lāʻau me ka ʻole o ke aʻo ʻana a ke kauka. ʻO ka hana ʻana pēlā e hoʻihoʻi hou mai ai nā hōʻailona. Inā hoʻōki ʻoe, e hana pēlā ma lalo o ka nānā ʻana a ke kauka, a e hoʻēmi mālie i ka nui o ka lāʻau.
- Pono paha nā maʻi ma luna o 65 mau makahiki i kahi mahele haʻahaʻa. Eia kekahi, i kekahi mau hihia, ua kuhikuhi ʻia kēia lāʻau lapaʻau i nā keiki he 10 mau makahiki, akā ma lalo o ka mālama kūikawā wale nō.
He aha inā e hala iaʻu kahi mahele o ka lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i kāu lāʻau lapaʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai lawe pālua i ka lāʻau lapaʻau.
He aha inā lawe nui wau i ka lāʻau lapaʻau (overdose)?
Inā manaʻo ʻoe ua lawe ʻoe i nā lāʻau lapaʻau ma mua o kou manaʻo, e kāhea koke aku i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi no kekahi kumu.
Nā mea ʻē aʻe e launa pū me kēia lāʻau lapaʻau
I ka wā e lawe ana i ka quetiapine, pono ʻoe e makaʻala i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me ia a hana i nā hopena maikaʻi ʻole. E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā lāʻau lapaʻau āu e lawe nei.
Ua ʻōlelo ʻia e pale loa i ka lawe ʻana i ka quetiapine me nā lāʻau lapaʻau aʻe.
- ʻO Cisapride
- ʻO Dronedarone
- ʻO Metoclopramide
- Pimozide
- ʻO Thioridazine
Eia kekahi, hiki i nā lāʻau lapaʻau ʻē aʻe ke launa pū me ka quetiapine. Eia kekahi laʻana:
- ʻAila
- ʻO kekahi mau lāʻau lapaʻau no nā maʻi ʻaleka, nā ʻū, a me ke anu
- Lāʻau lapaʻau no ka hopohopo a i ʻole ka hiamoe
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha (e like me fluoxetine, sertraline)
- ʻO kekahi mau lāʻau lapaʻau no nā maʻi fungal (e like me ketoconazole)
- Nā lāʻau lapaʻau no ka maʻi epilepsy
- Lāʻau lapaʻau koko
- Nā lāʻau hoʻopau ʻeha (ʻoi aku ka morphine)
- ʻO kekahi mau lāʻau antiviral no ka maʻi HIV a i ʻole ka hepatitis
ʻAʻole i piha kēia papa inoa, no laila he mea nui e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
Nā mea e makaʻala ai i ka wā e lawe ai i ka lāʻau lapaʻau
He mea nui e noʻonoʻo iki i kou kino a me kou noʻonoʻo i ka wā e lawe ana i ka quetiapine.
Nā loli i ke kūlana noʻonoʻo
E makaʻala i kou kūlana noʻonoʻo, ʻoiai ke hoʻomaka mua ʻoe e lawe i ka lāʻau lapaʻau a i ʻole ma hope o ka hoʻololi ʻana i kāu mahele lāʻau. E haʻi koke i kāu kauka inā ʻike ʻoe a i ʻole kou ʻohana i kekahi o kēia mau mea:
- Inā manaʻo ʻoe e ʻoi aku ka ʻino o kou kaumaha.
- Inā he mau manaʻo kou e hōʻeha iā ʻoe iho.
- Inā ʻoe e manaʻo nui ana i ka hoʻomaha ʻole a me ka hopohopo.
- Inā huhū koke ʻoe a lilo i mea hoʻouka kaua.
- Inā ʻoe e hiamoe ana.
Nā hopena i ʻike ʻia ma ke kino
- Pōniuniu a me ka hiamoe: Hiki i kēia lāʻau lapaʻau ke hoʻopīuniu a hiamoe paha iā ʻoe. No laila, mai hoʻokele a hoʻohana paha i nā mīkini a hiki i kou ʻike ʻana i ka hopena o kēia lāʻau lapaʻau iā ʻoe.
- Mai ala koke: ʻO ke ala koke ʻana mai kahi noho a moe paha e hiki ke hoʻoulu i ka poniuniu a me ka hāʻule ʻana. No laila e ala mālie.
- ʻOna: E pale i ka inu ʻana i ka ʻona. Hiki i ka ʻona ke hoʻololi i nā hopena o ka lāʻau lapaʻau a hoʻonui i ka hiamoe a me ka poniuniu.
- Mahana kino: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i ka hiki o ke kino ke hoʻoponopono i ka mahana. E pale iā ʻoe iho mai ka wela nui a me ke anu. E inu i ka wai he nui.
Nā hopena ʻaoʻao hiki ke loaʻa
E like me nā lāʻau lapaʻau āpau, hiki i ka quetiapine ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi, aʻo kekahi he mea maʻamau. ʻO ka mea nui, ʻo ia ka makaʻala i kēia mau mea a e ʻimi i ke aʻo lapaʻau inā pono.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka | |
|---|---|
| Nā maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo. |
| Nā loli i ka helu o ka puʻuwai | Puʻuwai wikiwiki, puʻuwai kūpono ʻole, poniuniu, ʻeha umauma. |
| ʻO ka maʻi ʻino Neuroleptic (NMS) | Kuni nui, ʻoʻoleʻa o nā ʻiʻo, hou nui, huikau. (He pilikia kēia) |
| Nā pae kō koko kiʻekiʻe (Hyperglycemia) | Makewai nui, mimi pinepine, luhi nui, ʻike maka pōwehiwehi. |
| Nā Hōʻailona Extrapyramidal (EPS) | Nā neʻe kino i hiki ʻole ke kāohi ʻia, nā haʻalulu, ka ʻūmiʻi o nā ʻiʻo, ka hoʻomaha ʻole. |
| Hahau | Ka mae/nāwaliwali koke o ka maka, ka lima a i ʻole ka wāwae, ka paʻakikī i ka ʻōlelo ʻana, ka ʻeha poʻo nui. |
| Nā hopena ʻaoʻao maʻamau e pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Hiamoe a me ka poniuniu | Hiamoe a me ka poniuniu |
| Waha maloʻo | Waha maloʻo |
| Ka paʻa ʻana o ka ʻōpū | Ka paʻa ʻana o ka ʻōpū |
| Piʻi ke kaumaha | Piʻi ke kaumaha |
Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi ʻo Quetiapine e hiki ke kōkua i ka hoʻomaikaʻi ʻana i kou olakino noʻonoʻo. Mai makaʻu iā ia.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke aʻo ʻana a kāu kauka.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā kūlana olakino ʻē aʻe āu e loaʻa nei.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao koʻikoʻi (e like me ke kuni nui, ka paʻakikī o ka hanu ʻana, ka huikau), e ʻimi koke i ke kōkua lapaʻau.
- E hōʻalo loa i ka waiʻona i ka wā e lawe ana i kēia lāʻau.
- He mea nui loa e ʻike i kāu kauka i nā lā i hoʻonohonoho ʻia a kūkākūkā i kou kūlana.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He lāʻau lapaʻau nā papa Quetiapine (Quetiapine / Seroquel) no ka maʻi hea?
He hanauna hou kēia o ka lāʻau noʻonoʻo ikaika (Atypical antipsychotic) i hāʻawi ʻia no ka 'Schizophrenia' koʻikoʻi, ke kaumaha, a ʻoi aku hoʻi ka Bipolar Disorder (kahi maʻi e loli koke mai ka huhū a i ka hauʻoli nui)! ʻOiai e hoʻopau ana i ka lapuwale a me ka impulsivity o ka mea maʻi, hoʻohana pū kekahi mau kauka he nui iā ia ma nā haʻahaʻa haʻahaʻa ma ke ʻano he lāʻau hiamoe maikaʻi no ka 'Insomnia'.
💬 Pehea e hele ai kēia lāʻau lapaʻau (Quetiapine) i ka lolo a hoʻopau loa i ka impulsivity/hauʻoli nui o ka mea maʻi?
Hoʻonui ʻia nā hallucinations a me nā loli o ka mea maʻi ma muli o nā pae kiʻekiʻe o nā kemika 'dopamine a me serotonin' i loko o ka lolo. Hele pololei kēia lāʻau lapaʻau i ka lolo a ālai/kaulike i kēlā mau mea loaʻa kemika ʻelua (D2 a me 5-HT2A Receptors). Ālai pū ia i ka histamine (H1), no laila e hiolo loa ke ʻano uē/hakakā o ka mea maʻi a komo ʻo ia i kahi hiamoe mālie/kūlohelohe.
💬 He aha nā hopena ʻaoʻao nui a hoʻonāukiuki loa o ka lawe ʻana i kēia mau pila (Seroquel)? Ke hōʻemi nei anei ia i ke kaumaha?
ʻAʻole hiki ke hōʻemi kaumaha! ʻO ka hopena nui loa a hoʻonāukiuki loa o kēia, ʻo ia ma hope o kekahi mau mahina o ka inu ʻana, e ʻike ke kino i ka 'piʻi kaumaha nui'. Eia kekahi, aia kahi manawa kūpono e piʻi nui ai ka cholesterol a me ke kō i loko o ke koko (Metabolic syndrome/Diabetes). ʻO kekahi mea ʻē aʻe, ʻo ka inu ʻana i kēia e hoʻoulu maoli i ka hiamoe nui a me ka poniuniu (Sedation/Orthostatic hypotension) a hiki i kahi e hiki ʻole ai iā ʻoe ke ala aʻe mai kahi moe i ke kakahiaka.











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